NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ TIÊU CHẢY CẤP DO ROTAVIRUS Ở TRẺ DƯỚI 5 TUỔI TẠI BỆNH VIỆN NHI ĐỒNG CẦN THƠ NĂM 2023-2024

Abstract

Background: Acute diarrhea caused by Rotavirus is the leading cause of hospitalization in children, with an alarming increasing trend. Clarifying the related aspects plays a key role in supporting treatment and reducing mortality in this age group. Objectives: 1) To describe the clinical and subclinical characteristics; (2) To describe treatment outcomes of Rotavirus diarrhea in children under 5 years old at Can Tho Children's Hospital from 2023 to 2024. Materials and methods: A cross-sectional descriptive study was conducted on 60 children under 5 years of age diagnosed with acute diarrhea caused by Rotavirus at Can Tho Children's Hospital from October 2023 to October 2024. Results: Male children were more commonly affected than females (60% vs 40%). About 85% of the cases were under 24 months of age, and 68.3% lived in rural areas. The characteristics of stool were mainly yellow (95%), non-mucoid (96.7%), and without blood (100%). The most common clinical symptoms were vomiting (85%) and fever (78.3%) and comorbidities were present in 46.7% of the children. Severe dehydration and some dehydration were observed in 6.7% of cases each. 48.3% children had leukocytosis. 70% of non-dehydrated children received combined intravenous and oral fluids. Zinc and probiotics were prescribed in 66.7% and 90% of cases, respectively. Cephalosporins were the most commonly used antibiotic group (53.2%). Conclusion: Rotavirus-induced acute diarrhea commonly occurs in children under 2 years of age, typically presenting with yellow, non-mucoid, and bloodless stools. Appropriate fluid replacement therapy, combined with supportive treatments such as zinc, antisecretory agents and probiotics promotes rapid recovery in children.